Organization
RANJBAR EYECARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA N RANJBAR OD (AGENT/OWNER)
(708) 547-1893
Entity
Organization
Contact information
Practice address
130 S MANNHEIM RD, HILLSIDE, IL 60162-1821
(708) 547-1893
(408) 547-1467
Mailing address
130 S MANNHEIM RD, HILLSIDE, IL 60162-1821
(708) 547-1893
(408) 547-1467
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010356
IL
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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